Organization
FIRST STAR NATURAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WAHJI WIJAPI KASTEN N.D., L.AC. (DR.)
(503) 201-6565
Entity
Organization
Contact information
Practice address
2161 NE BROADWAY ST, PORTLAND, OR 97232-1512
(503) 331-1800
Mailing address
2161 NE BROADWAY ST, PORTLAND, OR 97232-1512
(503) 331-1800
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
3011
OR
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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